Morning Briefing
Summaries of health policy coverage from major news organizations
FDA To Decide On Implant Heralded As New Weapon Against Opioid Addiction, But Critics Are Balking At Price
The implant promises to treat opioid addiction without the hassle of a daily pill. And the company marketing the drug is so confident it鈥檒l work, it鈥檚 planning to offer insurers a twist on a money-back guarantee: If the new device doesn鈥檛 save them money, they鈥檒l get a refund. The implant, branded as Probuphine, relies on four tiny rods implanted under the skin to dispense the drug buprenorphine for six months at a time. The Food and Drug Administration is expected to decide on Friday whether to approve it. (Robbins, 5/25)
Currently, buprenorphine for opioid dependence is available in the U.S. only in pill form and as a film that dissolves under the tongue. Both versions can be easily sold illegally, used by others and ingested accidentally by children. Experts say implants lessen those risks and make it easier for patients to stick to their buprenorphine regimen. Implants would also discourage relapses by making it harder for patients to discontinue usage when they want to get high, said Michael Sheehan, medical director at Operation PAR, a nonprofit drug treatment provider in the Bradenton, Florida, area. (Pugh, 5/24)
鈥淎nything that might help people beat their opioid addiction is a good idea,鈥 said Dr. Barbara Herbert, president of the Massachusetts Society of Addiction Medicine. But she said she also has reservations about this method of delivering treatment. The main one is price. The company says it will price the implants to be competitive with other injectable treatments used to battle opioid addiction, including a shot that costs about $1,000 a month. Buprenorphine pills, in comparison, typically cost $130 to $190 for a month鈥檚 supply. Herbert said a high price may force providers to turn patients away 鈥 or cut back on other services. 鈥淗igh profits in the middle of this epidemic are really unconscionable,鈥 she said. (Bebinger, 5/25)
Meanwhile, in other news聽鈥
A US senator is calling on Secretary of State John Kerry to pressure the Chinese government to toughen its laws to stop the illicit export of the potent opioid fentanyl, which is now killing more Americans than heroin in many areas. (Armstrong, 5/24)
The idea is to figure out the best ways to harness the city's limited resources. For the approach to work, it must address two very different homeless populations. The city has already had success reaching out to one group - the chronically homeless, whom I wrote about last week - by getting many long-term homeless people into supportive housing. But a second group, the newly homeless, is swelling, thanks to the opiate addiction crisis. (Newall, 5/25)